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Rural junior doctor and medical student Clinical Supervision : transitionin g to a teaching hospital. Professor Amanda Barnard. Aims of the project. Locally focussed and responsive to local needs
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Rural junior doctor and medical student Clinical Supervision : transitioning to a teaching hospital Professor Amanda Barnard
Aims of the project • Locally focussed and responsive to local needs • Develop (based on needs) and deliver rurally based supervisor workshops in SE NSW. Develop capacity in the rapidly increasing roles of rural hospitals as teaching hospitals • Target VMO clinicians, CMOs and registrars.
To date • Literature review • Focus groups- students • Interviews – supervising staff • Continuing – interviews, on line surveys • Workshops (finally) locked in • Evaluation
What have we learnt ? From the literature • Limited, especially in difference rural vs major metropolitan teaching hospitals (e.g. Jelinek/EDs) • Most rural focussed on medical students and post grad GP training • No validated tool for evaluating clinical supervision from a supervisors perspective • Most report multiplicity of roles/confusion re supervision • Most conclude “more work needed”
What do our supervisors say? • Supervision/teaching nexus • Clinical supervision/line management /performance/mentoring • Need more knowledge of program requirements • Service demands • Different ‘structures’ of rural hospital workforce –VMOs, CMOs • ‘Isolation’ – is this how its done at the centre? • Support and feedback (two way) • Tensions around delivery of critical feedback
Particular needs of supervising junior doctors on rotation“On their own” - autonomy, anxiety, angst and accelerated learningCulture of different hospitalsConscription vs choiceRelationship - vertical integration
Supervisees perspectives • Feedback , feedback, feedback • Clarification of expectations, responsibilities • Teaching is generally excellent • Orientation to ‘ culture’ • Returning is great!